PRIMARY CARE INTERVENTION FOR ALCOHOL ABUSE

一项对450名酗酒或依赖者的调查是 建议用来检查初级保健人员酗酒的影响 对门诊患者血液的干预和患者教育 测试结果、饮酒模式、健康问题和心理社会问题 饮酒超过18个月的后果。 在以西班牙裔为主的门诊家庭诊所的患者 将对是否存在酗酒或酒精依赖进行筛查。 筛查呈阳性并同意参与这项研究的人将是 随机分配到这些试验组之一：医生- 干预、干预+教育或不干预。医生- 干预对象将接受标准化的酒精滥用 医生的干预；干预加教育的受试者 将接受干预，外加转诊至为期6周的 以酗酒为重点的患者教育课程；无干预 受试者将接受医生的常规医疗护理，没有 标准化干预，不转诊到班级。 登记时以及登记后6个月、12个月和18个月收集的数据将 用于评估以下目标： 1.评估接受干预的酗酒患者是否 改善了验血结果、健康问题和社会心理状况 结果，与患者相比，减少了酒精消耗量 没有接受干预。 2.评估酗酒患者是否参与患者- 教育课程改善了血液测试结果，健康问题和 心理社会后果，并减少酒精消耗量 未转诊到班级的患者。 3.检查干预和患者的种族和性别差异 教育结果(由血液检测结果、健康状况的变化来定义 问题、心理社会后果和饮酒)。

An investigation of 450 individuals with alcohol abuse or dependence is proposed in order to examine the effects of a primary care alcohol abuse intervention and a patient education program on ambulatory patients' blood test results, drinking patterns, health problems, and psychosocial consequences of drinking over a period of 18 months. Patients in a predominantly Hispanic, outpatient family practice clinic will be screened for the presence of alcohol abuse or alcohol dependence. Those who screen positive and who agree to participate in the study will be randomly assigned to one of these experimental groups: Physician- Intervention, Intervention-plus-Education, or N0-Intervention. Physician- Intervention subjects will receive a standardized alcohol abuse intervention from their physicians; Intervention-plus-Education subjects will receive the Intervention plus a referral to a 6-week series of patient-education classes focusing on alcohol abuse; No-Intervention subjects will receive routine medical care from their physicians, with no standardized intervention and no referral to classes. Data collected at enrollment and 6, 12, and 18 months post-enrollment will be used to assess the following aims: 1.To assess whether alcohol abusing patients who receive the Intervention have improved blood test results, health problems, and psychosocial consequences, and decreased alcohol consumption compared to patients who did not receive the Intervention. 2.To assess whether alcohol abusing patients who participate in patient- education classes have improved blood test results, health problems and psychosocial consequences, and decreased alcohol consumption, compared to patients who were not referred to classes. 3.To examine ethnic and sexual differences in intervention and patient education outcomes (defined by changes in blood test results, health problems, psychosocial consequences and alcohol consumption).